KMID : 0361020140570110769
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Korean Journal of Otolaryngology - Head and Neck Surgery 2014 Volume.57 No. 11 p.769 ~ p.773
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Colon Interposition via the Retrosternal Approach without Enlargement of the Thoracic Inlet for the Management of Esophageal Stricture
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Baek Min-Kwan
Woo Joo-Hyun Han Seung-Wook Kim Dong-Young
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Abstract
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Background and Objectives: To report our experience of colon interposition without thoracic inlet widening for the management of esophageal stricture.
Subjects and Method: Between 2005 and 2012, five patients underwent esophageal replacement using colon graft. Clinical data, such as surgical techniques including thoracic inlet widening, surgical outcomes, and patient¡¯s age and gender were retrospectively analyzed. The follow-up period ranged from 10 months to 5 years.
Results: All five patients had corrosive esophageal stricture and underwent colon interposition without thoracic inlet widening; four underwent pharyngocologastrostomy and one total laryngopharyngectomy and pharyngocologastrostomy. No major complications, such as aspiration, dysphagia, reflux, or swallowing disorder developed during the postoperative long term follow-up.
Conclusion: A colon graft without enlargement of the thoracic inlet is an excellent esophageal substitute for patients with an esophageal corrosive stricture. Further surgical experience and more long-term follow-up data are required to produce more precise and statistically meaningful results.
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KEYWORD
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Colon interposition, Esophageal stricture, Thoracic inlet
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